Individual provider Active NPI

Krishna K Gajjar

  • Pharmacy Technician
  • New York, NY
National Provider Identifier
1396346847
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
30144734 Issued in NY
Practice address
459 Broadway
New York, NY 10013-3001
Phone
(212) 219-2658
Fax
(212) 219-3735
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 30144734 NY Primary

Addresses

Primary practice location

459 Broadway
New York, NY 10013-3001

Mailing address

459 Broadway
New York, NY 10013-3001
Phone (212) 219-2658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30144734NYMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Duane Reade CurrentSince Apr 24, 2022 Accepting new patients
Duane Reade PastSince Nov 8, 2020 Accepting new patients

Locations

459 Broadway
New York, NY 10013
Phone (212) 219-2658

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1396346847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133001",
            "telephone_number": "212-219-2658",
            "fax_number": "212-219-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133001",
            "telephone_number": "212-219-2658",
            "fax_number": "212-219-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJJAR",
        "first_name": "KRISHNA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NY",
            "license": "30144734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.